Application For Regional Sessions 2016 - 2017

July 22, 2015 -- clh3x
1 Start 2 Complete

**Each application should be accompanied by a Recommendation form which can be submitted separately**

Full Name
Preferred name for Name Tag if different from above.
If accepted to the program, we will send program materials to this address.
High School
Current Employment
Additional Employment History
Employer 1
Employer 2
Employer 3
Organizations and Activities
Organization 1
Organization 2
Organization 3
Program Fees

The program fee to attend a single session is $750. This includes all materials and books, field trip transportation, all breaks, and one dinner and at least one lunch at each session. Please note that this fee does NOT include additional costs, such as additional meals, lodging (which could include double-occupancy with another VNRLI Fellow), and travel related to each session. Efforts are made to keep lodging costs down by using retreats/conference facilities where possible. We use UVA travel rates as a guide in arranging lodging and meals.

Applicants will be notified of admission decisions within one week of receipt of the application. If you are accepted, the program fee is due no later than 10 days prior to the first day of the session.

By submiting this form electronically, I acknowledge that I understand the goals and objectives of the Virginia Natural Resource Leadership Institute and, if selected to participate, I will pay the program fee 10 days before the first day of the session.  I understand that participation in all Institute activities is obligatory and I am willing to devote the time to this program.

By submiting this form electronically, I acknowledge that I understand the time commitment required for my employee to participate in a regional session of the Virginia Natural Resources Leadership Institute and approve of his/her absence if selected to participate.

The Family Education Rights and Privacy Act of 1974 and its amendments guarantee students access to educational records concerning them. Applicants are permitted to waive their rights of access to recommendations. The following signed statement indicates the wish of the applicant regarding this recommendation.

Each application should include a recommendation, which can be submitted separately. Please see the top of this application for a link to the recommendation form. For questions, please email